Design value-driven operational processes aligned with creating an effective balance among costs, quality, and access to care.

Competency

Design value-driven operational processes aligned with creating an effective balance among costs, quality, and access to care.

Scenario

Assume the role of the chief operations strategist for a multi-specialty health care organization. You have determined that the organization could benefit from creating a workforce management strategy for the purpose of optimizing staffing levels. With worsening staffing shortages in critical areas such as nursing and primary care physicians, there is a concern that staffing shortages will result in higher labor costs across the healthcare spectrum. This could pose a significant challenge to the goal of balancing costs, quality and access to care.

Instructions

Draft a memo to the CEO outlining a plan to develop a strategy for optimizing your organizations workforce management strategy. Your memo should:

  • Describe the looming shortages of critical supply areas (nursing shortages, primary care physician shortages, etc.);
  • Explain the impact of the growing baby boom population on the system and how their complex needs may affect the cost, access, and quality of care;
  • Assess the use of analytics in optimizing recruitment and retention efforts for healthcare workers in critical roles;
  • Advocate for value-based strategies such as virtual care (telehealth) and other patient-support roles such as health educators and community health workers.

KEY TAKEAWAYS BEFORE ATTEMPTING THIS ASSIGNMENT

Healthcare is a complex field with a myriad of competing interests and concerns. As such, it is important to design operational processes that are value-driven, and that create an effective balance between the three key drivers of costs, quality, and access to care. In this essay, we will explore how to identify the drivers of cost, quality and access in healthcare, establish a holistic approach to value creation through operational processes in healthcare, and optimize operational processes through innovative strategies to balance costs, quality and
In the article “Identifying the Drivers of Cost, Quality and Access in Healthcare: How to Assess and Balance Their Impact on Operational Processes”, P Groves, B Kayyali, D Knott, and SV Kuiken (2016) explore how to assess and balance the impacts of cost, quality, and access on healthcare operational processes. They explain that cost, quality, and access are all key drivers in healthcare, and that healthcare systems need to be able to recognize the unique complexities of each driver, as well as the interconnections between them. The authors note that an organization must have a comprehensive understanding of their current operational processes and their potential outcomes in order to properly assess and balance these drivers. Additionally, they emphasize the importance of incorporating existing evidence-based practices into the assessment process. As such, organizations need to be aware of the available research and literature on cost, quality, and access and how it can be applied to their current operational processes. Furthermore, Groves et al. (2016) discuss the role of health information technology in the assessment and balancing process, noting that it can help organizations to identify and address gaps in their operational processes. All in all, this article provides an insightful overview of the drivers of cost, quality, and access in healthcare and their impacts on operational processes, as well as the effectiveness of health information technology in the assessment and balancing of these drivers.
In their 2021 article found in the Journal of Business Research, Leone, Schiavone, Appio, and Chiao examine the importance of developing a holistic approach to value creation through operational processes in healthcare. They argue that in order to effectively create value for the healthcare system, organisations must focus on the entire patient journey. By working on a holistic approach, healthcare organisations are able to identify and eliminate any sources of waste, such as over-treatment, under-treatment, and treatment duplication. Moreover, they suggest that this approach can help organisations to ensure that their healthcare services are tailored to the needs of their patients. This means that healthcare organisations must pay attention to both the clinical and non-clinical aspects of patient care, such as patient experience, health outcomes, and cost reduction. The authors emphasise the importance of understanding the patient journey in order to create value for the healthcare system. Through this understanding, healthcare organisations can develop strategies to enhance patient outcomes and reduce costs. As such, it is evident that a holistic approach to value creation is essential for healthcare organisations in order to provide efficient and effective services.
In their research paper, Levine and Dunn (2015) explore how innovative strategies can be used to balance costs, quality and access to care when optimizing operational processes. The authors suggest that the implementation of technological advances and the use of data analytics can be used to improve the efficiency of operations and the overall quality of care. Additionally, they explain that by utilizing technology, healthcare providers can reduce costs while still maintaining a high level of quality. Moreover, the authors emphasize the importance of providing access to care, as this can help to reduce disparities in health outcomes and reduce overall health costs for the population. They conclude that an effective strategy for optimizing operational processes is to leverage technology, data analytics and access to care in order to achieve balance between cost, quality and access. By doing so, healthcare organizations can provide high-quality care to a larger population at an affordable cost.
One way that health care organizations can ensure satisfaction and lower operating costs is by implementing value-driven operational processes. By aligning with the three main considerations of cost, quality, and access to care, organizations can create an effective balance between them in order to maximize their efficiency and efficacy. This balanced approach not only helps the organization achieve its goals, but also enhances the consumer experience as patients have access to high-quality care at a reasonable cost. Ultimately, successful implementation of value-driven operational processes creates cost-effective and high-quality access to health care for patients.
Work Cited
D Leone., F Schiavone., FP Appio., B Chiao.”How does artificial intelligence enable and enhance value co-creation in industrial markets? An exploratory case study in the healthcare ecosystem.”https://www.sciencedirect.com/science/article/pii/S0148296320307517
“The’big data’revolution in healthcare: Accelerating value and innovation.”http://repositorio.colciencias.gov.co/handle/11146/465
“Optimizing operating room scheduling.”https://www.anesthesiology.theclinics.com/article/S1932-2275(15)00071-3/abstrac

 

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